Fat Jimmy's Online Employment Application

Enter today's date:

-- mm/dd/yy

Please provide the following  information about yourself:

Name
Street Address
Address (cont.)
City
State
ZipCode
Home Phone
FAX
E-mail

How did you find out about this job?

Employee  Friend    Walk-in   Website 
Other     

Select the location(s) where you can work:

528 S. Fifth          2712 Frankfort Ave.  2208 Bardstown Rd      12216 Shelbyville Rd 

Position(s) applied for:

Manager            Assistant Manager  Cook               Food Prep        
Cashier            Server             Dishwasher         

Are you at least 18 years old?

Yes No

Are you at least 20 years old?

Yes No

Are you legally eligible for employment in the U.S.?

Yes No

What type of employment are you seeking?

Full time
Part time
Temporary

What shift(s) would you prefer to work?

Lunch   Dinner  Either  Both  

Are you willing to work overtime?

Yes No

Are you willing to work weekends?

Yes No

Are you currently employed?

Yes No

If hired, when would you be able to start?

-- mm/dd/yy

List any friends or relatives employed by Fat Jimmy's.

Have you ever been discharged or asked to resign from any position?

Yes No

If yes, please describe:

What High School do / did you attend?

When did  / will you graduate from High School?

-- mm/dd/yy

What College do / did you attend?

When did / will you graduate from College?

-- mm/dd/yy

Current or most recent employer's contact information and Supervisor's Name:

Supervisor's Name
Supervisor's Title
Company Name
Street Address
Address (cont.)
City
State
Zip Code
Work Phone

Previous employer's contact information and Supervisor's Name:

Supervisor's Name
Supervisor's Title
Company Name
Street Address
Address (cont.)
City
State
Zip Code
Work Phone

May we contact the employers listed above?

Yes No

If not, list the employers you do not wish us to contact and why: